Sciatica During Pregnancy

Imagine the surprise a woman must feel while dealing with the physical symptoms and discomforts of pregnancy, to suddenly develop severe back pain. This is not the usual low back pain that is often experienced during pregnancy; it is sciatica. This sharp, shooting pain usually starts in the buttocks and radiates down the back or side of the thigh to the calf and possibly the heel. There may be paralyzing numbness, in addition to the pain, which can be severe enough to limit mobility.

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Sciatica occurs due to the compression at the base of the spine. This compression leads to pain in the lower back and gluetal region of the body. This pain travels to ankle, calf, thighs and knee. Real Sciatica happens when the pain reaches the knees and the ankles. Sciatica actually is the pain that moves through the sciatic nerve - the longest nerve in your body. This nerve starts from your spinal cord to your hips and down to the leg. The pain therefore moves along this nerve and the parts of body it connects. Sciatica actually may not be problem in itself. It may have other inherent causes which are connected to the sciatic nerve like herniated disk.

Sciatica can reduce your mobility and normal daily activities considerably. The duration of the pain varies according to the inherent cause and may subside in 4-8 weeks time. However, there is no need to loose hope. There are many sciatica treatments both clinical and home based which can help cure and manage sciatica and reduce pain.

??? When getting out of bed, try rolling onto your side first, letting the weight of your feet and legs dangling over the edge of the bed, pull your body into a sitting position. This puts less stress on the lower back, helping you to avoid triggering a painful muscle spasm.

Most physicians avoid prescribing medications for pregnant patients suffering from sciatica but there are several steps that can be taken to relieve or decrease the discomfort. This includes:

These sciatica treatments can help in curing and reducing your sciatica pain.

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In addition, these helpful habits may decrease the chances of developing sciatica: ??? Avoid hours of sitting slumped at a computer or standing with a baby on one hip. Both can contribute to lower back pain.

??? Bedrest may be necessary at times. ??? See your physician if the pain becomes unmanageable. Sciatica is unique to a pregnancy and may gradually disappear on its own. Just because you had sciatica in one pregnancy does not mean it will appear in a subsequent one.

Steroid Based Treatments Sometimes, the doctors also prescribe epidural or corticosteroid steroid injections to help reduce inflammation in the effected areas.

As the pregnancy develops, the abdominal tendons and ligaments become looser to prepare for childbirth. The backs of some women become quite unstable and prone to injury. Medical evaluation should always be sought. In some cases, sciatic pain is due to pressure on the nerve that is caused by damage to the disc between the vertebrae of the spine. This creates inflammation and pain and requires specific treatment.

??? Williams Exercises have been developed specifically for use during pregnancy. They may temporarily relieve sciatica pain as they help strengthen the muscles of the pelvic floor, the back and abdomen.

Common Sciatica Treatments Bed Rest The most common sciatica treatment suggested by doctors is bed rest. It helps in relieving pain. However, only taking bed rest is not going to solve the problem fully. You should combine rest with physical activity that is enough to keep you active without aggravating the pain.

??? Swimming and walking are excellent exercises if not contra-indicated by the physician. ??? Avoid walking on an incline as this can cause joint irritation and lead to problems.

Exercise After the reduction in pain, doctors suggest exercises and physiotherapy to avoid the recurrence of the problem. These exercises are mainly aimed at improving your mobility, rectifying your posture and in making the muscles around your lower back strong.

Paul G Miller is a Ft Lauderdale chiropractic therapist who has worked with individuals with back pain problems for seven years.If you would like to receive a free weekly newsletter on back pain relief visit www.usspinecare.com and also to get more in-depth information.

Sciatica Treatment At Home There are many home based sciatica treatment too. Some of them are very effective in curing your sciatica pain quickly. For example ice treatment is very effective in controlling sciatica pain if it is used with in 48 hours of the onset of pain. Movement is also a good option in reducing pain. Doing exercises that stretch piriformis muscles are helpful in controlling sciatica pain. Balancing your pelvis region properly also helps in controlling pain. You can do this by lying down on the bed to check whether the balance is properly distributed on both sides.

??? Try to avoid significant weight gain. ??? Try sleeping on a firm mattress, lying on one side. A pillow rolled up under the knees may be helpful.

Sciatica is a type of pain typically experienced around the Sciatic nerve in the back. Characterized by slow pain or sharp jabs, Sciatica can nearly paralyze a human, pain experienced in the back, from neck al the way into legs can render a person incapable of performing regular functions such as walking or even sitting. Sciatica can be disgnosed with professional help, using medical history and simple tests to find intensity and origin of the pain. In some cases, simple exercises can improve the pain management. Simple exercises, along with keeping joints flexible (especially in case of mature people), can help with daily management. Anti-inflammatory painkiller helps. Studies have shown that non treatment of Sciatica makes it stay, and in most cases, get worse. Even through the patient may feel pain while walking and sitting, staying mobile is almost always better than resting or lying down. For chronic Sciatica pain, professional help can be sought and once the root cause diagnosed, appropriate treatment can help improve and rid the problem. Surgery, if needed, can help improve and relieve the pain as well as the cause.

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Sciatica can occur at any time in a normal pregnancy but it is most common during the second and third trimester, when the baby is larger and carried lower in the abdomen. Known as Pregnancy-Related Sciatica, it is caused by the pressure of the baby on the sciatic nerve. This is the largest nerve in the body, about the diameter of a finger. Its fibers branch off the spinal cord at the 4th and 5th lumbar vertebra (L4, L5) and the first few segments of the sacrum.

Surgery Surgery also brings relief to patients. Surgery is performed when the pain does not subside even after rest, medications or other forms of treatment and the nerve compression leads to other problems like extreme weakness and bladder incontinence etc

In most people, self care measures is usually recommended a sciatica treatment as this usually responds well. Continuing with your usual activities but avoiding the original factor that aggravated your sciatica pain in the first place will help you to heal more quickly. Even though it seems like a few days of bed rest may provide some relief, any more then this is not a good idea. Inactivity will make your symptoms worse over time. In addition to self care sciatica treatment, try some of the following: Cold Packs: Cold packs help to reduce inflammation and relieve some of the discomfort. In a clean towel, wrap an ice pack or a bag of frozen peas and apply to the affected areas for fifteen to twenty minutes four times per day. Hot Packs: After 48 hours have passed, apply heat to the affected areas. Warm packs or a heating pad on the lowest setting should help to alleviate some of the pain. Try to alternate warm and cold packs if you continue to have pain. Stretching: When stretching initially after your sciatica flare up, stick to passive stretching and avoid jerking motions including bouncing or twisting. Over The Counter Medication: There are two categories of pain killers. The first one only relieves pain. The second type of pain killer relieves pain as well as treats inflammation. These are called Nonsteroidal anti-inflammatory drugs. Products such as aspirin, ibuprofen and acetaminophen products such as Tylenol can help to relieve sciatica pain. These can provide real pain relief but there is a limit to how much pain can be controlled. This is known as the ceiling effect - exceeding the recommended dosage wont provide better results. Worse though is that these NSAIDS are known to cause side effects in some people such as nausea, stomach bleeding or ulcers. Acetaminophen has been known to cause liver problems if taken in excess. If you use these medications on a regular basis talk to you health care professional so that you can be monitored for problems associated with prolonged usage. If you are exercising, stretching or following another sciatica treatment program you should periodically re-evaluate if you still require these NSAIDS for pain management. Prescription Drugs: A muscle relaxant along with anti-inflammatory medications may be prescribed by your health care professional. In some cases of chronic pain anticonvulsant and tricyclic antidepressant drugs may also be prescribed. By blocking the pain messages being sent to your brain or enhancing the bodies production of endorphins, pain symptoms can sometimes be handled this way. Your bodies natural painkillers are called endorphins. Physical Therapy: Physical therapy can play an important part in your recovery from a herniated disk. When your condition improves your physical therapist can work with you to help design a rehabilitation program that will help you prevent the same injury in the future. Regular Exercise: When you injure yourself you think that movement or exercise would be counterproductive and all you want to do is just lay down and rest until the pain goes away. The truth is that regular exercise is the best way to combat many ailments, including chronic discomfort. When you exercise your body releases endorphins. Endorphins are the chemical that prevent pain signals from reaching your brain and can also help to fight against anxiety and depression. Your pain may be more difficult to control if you suffer from either depression or anxiety.

Medicines The pain can be treated with anti inflammatory non steroidal dugs combined with drugs that relax muscles. Anticonvulsant drugs and Tricyclic antidepressants are also prescribed to reduce pain. These drugs work in two ways - by blocking the sensations in reaching your brain - and by producing endorphins that naturally help reduce pain.

??? Massage to reduce muscle tension. Some experts believe that tightness in the gluteus and psosas muscles contribute to sciatic pain. Treatment once or twice a week can help relieve stress on weight-bearing joints.

In most circumstances conservative sciatica treatment is tried for three to six months. When conservative sciatica treatment fails to alleviate your pain more aggressive sciatica treatment options are usually attempted. Epidural Steroid Injections: An injection of a corticosteroid medication to the affected area may be helpful in some instances. If taken in doses that exceed your natural levels, inflammation is suppressed relieving painful symptoms caused by the pressure of the inflammation. Most effective when used in conjunction with a sciatica treatment rehabilitation program. Because of the serious side effects that corticosteroid injections can cause, the number of injections you can receive in a year is usually limited to no more then three. Surgery: Surgery is most often a last resort and left until the compressed nerve causes significant weakness, loss of bowel or bladder control, or if the pain itself is progressing and conventional sciatica treatment is not working. Most often surgery is preformed as a sciatica treatment to remove a portion of a herniated disk that is pressing on a nerve. The goal is to preserve as mush of the normal anatomy as possible, leaving as much of the disk intact as possible.

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